Whalio Doctors

NPI 1013090992

Randolph Vanalstine, DDS

Practitioner Dentist Farmington Hills, MI

Practice location

Address
25882 Orchard Lake Rd STE 105, Farmington Hills, MI 48336-1294
Phone
(248) 442-6600
Fax
(248) 564-0946
Mailing address
877 E Lake Shore Dr, Decatur, IL 62521-3390

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X

Registry record

NPI
1013090992
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Oct 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.